AVANGUARD MEDICAL GROUP INC – NPI #1336746221
Radiologic Technologist

A radiologic technologist who specializes in vascular interventional and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of vascular interventional imaging, exam techniques, equipment protocols, radiation safety, and patient care.

AVANGUARD MEDICAL GROUP INC is a radiologic technologist located in TARZANA, CA. NPPES has assigned the NPI number 1336746221 to AVANGUARD MEDICAL GROUP INC on October 05, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2471V0106X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist, specializing in Vascular-Interventional Technology Radiologic Technologist

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVANGUARD MEDICAL GROUP INC below.

NPI Profile for
AVANGUARD MEDICAL GROUP INC

NPI Number
1336746221
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVANGUARD MEDICAL GROUP INC
Primary location
5620 WILBUR AVE STE 207
TARZANA, CA 91356-1309
Phone: (818) 344-0070 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VICTORIYA TEPMAN
ADMINISTRATOR
Phone: (818) 344-0070
Updated
Certification Date
Oct 05, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2471V0106X
- Radiologic Technologist / Vascular-Interventional Technology Radiologic Technologist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.